After an Unsuccessful Trial with Fluphenazine (Prolixin), a Patient's Medication

question 28

Multiple Choice

After an unsuccessful trial with fluphenazine (Prolixin) , a patient's medication was changed to trifluoperazine (Stelazine) . Three months later the patient is still hallucinating and delusional. What is the most likely explanation for the persistent symptoms?

• A) Trifluoperazine (Stelazine) is a low-potency antipsychotic, and the patient might need higher doses.
• B) The patient has not taken trifluoperazine (Stelazine) long enough to decrease symptoms significantly.
• C) Delusions and hallucinations are negative symptoms of schizophrenia that do not respond to traditional antipsychotic medications.
• D) Both fluphenazine (Prolixin) and trifluoperazine (Stelazine) are traditional antipsychotics, and the patient does not respond well to this class of drug.

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